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WAKEMED SPECIALISTS GROUP LLC NPI 1073178398


NPI Information

NPI: 1073178398
Provider Name: WAKEMED SPECIALISTS GROUP LLC

Other Name: WAKEMED RHEUMATOLOGY

Classification: Internal Medicine - 207RR0500X
Entity Type: Organization

Specialization: Rheumatology

Address:
10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614
Phone: (919) 235-6454
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WAKEMED SPECIALISTS GROUP LLC is a rheumatology internal medicine in Raleigh, NC. The provider is an internist who treats diseases of joints, muscle, bones and tendons. This specialist diagnoses and treats arthritis, back pain, muscle strains, common athletic injuries and collagen diseases. WAKEMED SPECIALISTS GROUP LLC NPI is 1073178398. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Wakemed Rheumatology.

The provider's business location address is:

10010 FALLS OF NEUSE RD
RALEIGH, NC
ZIP 27614-494
Phone: (919) 235-6454
Fax: (919) 350-9878

The provider's authorized official is Maria Jayoussi .
The authorized official title is Executive Director Of Finance and has the following contact phone number (919) 350-6089.

The enumeration date for this NPI number is 5/2/2019 and was last updated on 8/21/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207RR0500XInternal MedicineRheumatologyYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11073178398MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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